OrganizationActive
Srs-Ely LLC
NPI 1144650722 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ely, NV
Provider details
- NPI number
- 1144650722
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerome Tannenbaum, President(615) 467-0140
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
701 East 15th Street
Ely, NV 89301
Phone: (615) 467-0140
Fax: (615) 259-0693
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 198813
Nashville, TN 37219-8813
Registry dates
- Enumerated
- 2013-11-19
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.